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ALS Case Studies

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Robert*, a 58-year old male, decided that it was time to investigate the symptoms of chronic fatigue and muscle weakness that had been nagging him over the past year. He was also becoming concerned about the hoarseness in his voice that had not resolved after what he assumed was an upper respiratory infection. Therefore, he brought his issues to the attention of his primary care physician, who subsequently referred him to a neurologist who specialized in neuromuscular disorders.
As what may be common with individuals who are of Robert’s age group (Erikson & Erikson, 1998), he initially viewed and accepted his discomforts and dysfunctions as parts of the normal aging process; and, although he was mindful of maintaining a healthy lifestyle, …show more content…

Sporadic, which accounts for approximately 90 percent of cases, and 2. Familial, which accounts for the remainder (Kiernan, et al., 2011, p. 942-943). As the names imply, Sporadic ALS does not seem to have a definitive cause; to the contrary, Familial ALS may be linked to genetic or familial factors (Kiernan et al., 2011). Regardless of etiology, though, ALS can present with a number of different variations, including:
• Pure ALS with motor degeneration only
• ALS with cognitive symptoms (such as memory or attention deficits)
• ALS with cognitive impairments or dementia (also called Amyotrophic Lateral Sclerosis with frontotemporal dementia, or ALS-FTD)
• ALS with bulbar palsy, which also affects the oropharyngeal muscles (Miller et al., 2009)
Diagnosis. As discussed, due to its many presentations, generalizable signs and symptoms, and gradual onset of the disease, a definitive diagnosis of ALS is often established long after other conditions are ruled out. As a matter of fact, the median time of symptom onset to diagnosis is about 14 months (Kiernan et al., 2011, p. 947). Unfortunately, any delays in diagnosis may also delay treatments that could prolong survival or improve quality of

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